Valerie Lisiecki, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL2410 Issued in FL

Practice address

9446 Philips Hwy
Ste 3
Jacksonville, FL 32256-1358

Phone

(904) 739-4170

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthletix Management, LLC

  • Health Service Clinic/Center
  • Jacksonville, FL
  • NPI 1053879437
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1598060824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 N BRIDGESTONE AVE",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9446 PHILIPS HWY",
            "address_2": "STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561358",
            "telephone_number": "904-739-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISIECKI",
        "first_name": "VALERIE",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liquid Logic RX
• Kalan Lis
• Lisa Helping Hands LLC
• Giolette Nicole Lisenko Torres, BCBA
• Ijoni Lisha, MD
• Danielle Rose Liso, PHD., BCBA-D
• Lissen Therapy, LLC
• Lawrence Albert Lisska, MD
• Hana Listes
• Julie M. Liszka, PH.D.

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.